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Mauricio Bonilla, MD
Student in an Organized Health Care Education/Training Program in Ontario, California
NPI 1801424866

Mauricio Bonilla is a Student in an Organized Health Care Education/Training Program based in Pomona, CA. Mauricio Bonilla practices in Ontario, CA and has the professional credentials of MD. The NPI Number for Mauricio Bonilla is 1801424866 and holds a License No. A186367 (California).

The current practice location address for Mauricio Bonilla is 1129 W 4Th St, Ontario, CA and can be reached out via phone at 909-363-9300 and via fax at 562-690-3182.

Location: 1129 W 4Th St, Ontario, CA, 91766-3446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801424866
Provider Name
Mauricio Bonilla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1129 W 4Th St, Ontario, CA, 91766-3446
Phone Number
909-363-9300
Fax Number
562-690-3182
Provider Enumeration Date
03/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1129 W 4Th St
City
Ontario
State
California
Zip
91762-1703
Phone Number
909-363-9300
Fax Number
562-690-3182
person
Provider Business Mailing Address Details
Address
1129 W 4Th St
City
Ontario
State
California
Zip
91762-1703
Phone Number
909-363-9300
Fax Number
562-690-3182
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A186367 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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